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Assessment of MRI Geometric Distortion for Radiotherapy Planning

Odnovol, M.; Lykova, E.

2026-08-02 radiology and imaging
10.64898/2026.07.30.26359350 medRxiv
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Background: MRI is widely used in radiotherapy planning due to its high soft-tissue contrast, but geometric distortions can compromise target localization accuracy. Objective: This study aimed to develop an accessible method for assessing geometric distortion in MRI using two phantoms - a commercial anthropomorphic phantom and a custom-made phantom fabricated from ABS plastic. Approach: CT imaging was used as the reference standard. Distortion was assessed through linear measurements of periodic structures in a DICOM viewer, followed by statistical analysis. Significance: The study evaluates the clinical impact of distortion on radiotherapy planning and proposes a cost-effective solution for routine quality assurance in resource-limited settings.

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